[1]张 玉,唐 静,董虹美.超声检测早孕期卵黄囊的临床意义[J].医学信息,2018,31(18):22-25.[doi:10.3969/j.issn.1006-1959.2018.18.009]
 ZHANG Yu,TANG Jing,Dong Hong-mei.Clinical Significance of Detecting Yolk Sac in Early Pregnancy by Ultrasonography[J].Journal of Medical Information,2018,31(18):22-25.[doi:10.3969/j.issn.1006-1959.2018.18.009]
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超声检测早孕期卵黄囊的临床意义()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年18期
页码:
22-25
栏目:
综述
出版日期:
2018-09-15

文章信息/Info

Title:
Clinical Significance of Detecting Yolk Sac in Early Pregnancy by Ultrasonography
文章编号:
1006-1959(2018)18-0022-04
作者:
张 玉唐 静董虹美
重庆市妇幼保健院超声科,重庆 401147
Author(s):
ZHANG YuTANG JingDong Hong-mei
Department of Ultrasound,Chongqing Maternal and Child Health Hospital,Chongqing 401147,China
关键词:
卵黄囊胚胎超声染色体
Keywords:
Key words:Yolk sacEmbryoUltrasonographyChromosome
分类号:
R445.1;R714.15
DOI:
10.3969/j.issn.1006-1959.2018.18.009
文献标志码:
A
摘要:
卵黄囊是孕囊内非常重要的结构,在胚胎早期发育中发挥着造血、营养、生殖、代谢、免疫、排泄和内分泌等功能。卵黄囊容易受多种因素影响,在超声上表现为直径过大或过小、形态不规则、回声异常、钙化等,卵黄囊的形态改变和妊娠结局相关,形态异常易引起早期自然流产,卵黄囊直径过大和染色体异常密切相关,多篇文献报道卵黄囊和羊膜囊数目的非一致性,说明卵黄囊不能确定羊膜囊性。最新研究发现巨噬细胞来源于卵黄囊,参与免疫调节。卵黄囊和早产以及糖尿病的关系还在表面的推测上,缺乏大量临床数据及理论依据来进一步证实。
Abstract:
Abstract:The yolk sac is a very important structure in the gestational sac,which plays a role in hematopoiesis,nutrition,reproduction, metabolism,immunity,excretion and endocrine in the early development of the embryo.The yolk sac is easily affected by many factors, such as excessive or too small diameter,irregular shape,abnormal echo,calcification,etc.The morphological changes of the yolk sac are related to the pregnancy outcome,and the abnormal morphology is easy to cause early spontaneous abortion,the diameter of the yolk sac is too large and closely related to chromosomal abnormalities.Many reports have reported the inconsistency of the number of yolk sac and amniotic sac,indicating that the yolk sac cannot determine the cysticity of the amniotic membrane.The latest research found that macrophages are derived from the yolk sac and participate in immune regulation.The relationship between yolk sac and premature birth and diabetes is still further speculated on the surface,lacking a large amount of clinical data and theoretical basis to further confirm.

参考文献/References:


[1]Ratajczak MZ.Why are hematopoietic stem cells so"sexy"-on a search for developmental explanation[J].Leukemia,2017,31(8):1671-1677.
[2]Yang Z,Zou W,Du J,et al.The origins and homeostasis of monocytes and tissue-resident macrophages in physiological situation[J].Journal of Cellular Physiology,2018,233(10):6425-6439.
[3]Oka M,Hashimoto K,Yamaguchi Y,et al.Arl8b is required for lysosomal degradation of maternal proteins in the visceral yolk sac endoderm of mouse embryos[J].Journal of Cell Science,2017,130(20):3568-3577.
[4]Cook BD.Modeling murine yolk sac hematopoiesis with embryonic stem cell culture systems[J].Frontiers in Biology,2014,9(5):339-346.
[5]Stremmel C,Schuchert R,Wagner F,et al.Yolk sac macrophage progenitors traffic to the embryo during defined stages of development[J].Nature Communications,2018,9(1):75.
[6]Pollard JW.The Yolk Sac Feeds Pancreatic Tumors[J].Immunity,2017,47(2):217-218.
[7]Too HC,Shibata M,Yayota M,et al.Expression of thyroid hormone regulator genes in the yolk sac membrane of the developing chicken embryo[J].Journal of Reproduction&Development,2017,63(5):463-472.
[8]范爱琴,冯金秋,刘伟,等.槲皮素拮抗大气细颗粒物PM2.5对大鼠胚胎毒性的体外研究[J].北京大学学报(医学版),2017,49(3):388-393.
[9]Jin YM,Zhao SZ,Zhang ZL,et al.High glucose level induces cardiovascular dysplasia during early embryo development[J].Exp Clin Endocrinol Diabetes,2013,121(8):448-454.
[10]Nisari M,Ulger H,Unur E,et al.Effect of interleukin 12(IL-12)on embryonic development and yolk sac vascularisation[J].Bratislavské Lekárske Listy,2014,115(9):532-537.
[11]Costa EV,Nogueira RA.Multifractal dimension and lacunarity of yolk sac vasculature after exposure to magnetic field[J].Microvascular Research,2015,99(5):1-7.
[12]秦虹,王蕾.早期妊娠中超声检测卵黄囊与妊娠结局的临床分析[J].中国实用医药,2013,8(24):79-80.
[13]Berdahl DM,Blaine J,Voorhis BV,et al.Detection of enlarged yolk sac on early ultrasound is associated with adverse pregnancy outcomes[J].Fertility&Sterility,2010,94(4):1535-1537.
[14]Rodgers SK,Chang C,Debardeleben JT,et al.Normal and Abnormal US Findings in Early First-Trimester Pregnancy:Review of the Society of Radiologists in Ultrasound 2012 Consensus Panel Recommendations[J].Radiographics,2015,35(7):2135-2148.
[15]Gersak K,Veble A,Mulla ZD,et al.Association between increased yolk sac diameter and abnormal karyotypes[J].Journal of Perinatal Medicine,2012,40(3):251-254.
[16]张雪萍,顾海燕,朱青,等.超声检测卵黄囊用于早期先兆流产妊娠结局评估价值评价[J].黑龙江医药,2017,30(4):883-884.
[17]Salamanca A,Fernándezsalmerón P,Beltrán E,et al.Early embryonic morphology sonographically assessed and its correlation with yolk sac in missed abortion[J].Archives of Gynecology &Obstetrics,2013,287(1):139-142.
[18]张洋.经阴道超声检查早孕期卵黄囊大小及形态变化的临床价值[J].淮海医药,2016,34(3):294-295.
[19]Ashoush S,Abuelghar W,Tamara T,et al.Relation between types of yolk sac abnormalities and early embryonic morphology in first-trimester missed miscarriage[J].J Obstet Gynaecol Res,2016,42(1):21-28.
[20]张瑕,刘斯润,黄君,等.经阴道超声检测卵黄囊对早期自然流产结局的价值[J].湘南学院学报(医学版),2013,15(3):33-36.
[21]Tan S,Gulden TN,Kanat-Pektas M,et al.Abnormal sonographic appearances of the yolk sac:which can be associated with adverse perinatal outcome[J].Medical Ultrasonography,2014,16(1):15-20.
[22]Tan S,Ipek A,Pektas MK,et al.Irregular yolk sac shape:is it really associated with an increased risk of spontaneous abortion[J].J Ultrasound Med,2011,30(1):31.
[23]金素娟,叶平,黄斌,等.卵黄囊大小及形态变化与早孕流产关系[J].中国公共卫生,2012,28(7):970-972.
[24]Tan S,Pektas MK,Ozcan AS,et al.Frequency of a persistent yolk sac and its relationship with the gestational outcome[J].J Ultrasound Med,2012,31(5):697-702.
[25]Erol O,Erol M,Karaca M.Complete chorioamniotic separation and persistence of a yolk sac associated with triploidy[J].J Obstet Gynaecol Can,2013,35(10):914-916.
[26]Satoshi Yoneda,Arihiro Shiozaki,Noriko Yoneda,et al.A Yolk Sac Larger Than 5 cm Suggests an Abnormal Fetal Karyotype,Whereas an Absent Embryo Indicates a Normal Fetal Karyotype[J].J Ultrasound Med,2017,37(5):1233-1241.
[27]Angiolucci M,Murru R,Melis G,et al.Association between different morphological types and abnormal karyotypes in early pregnancy loss[J].Ultrasound Obstet Gynecol,2011,37(2):219-225.
[28]Li X,Ouyang Y,Yi Y,et al.Correlation analysis between ultrasound findings and abnormal karyotypes in the embryos from early pregnancy loss after in vitro fertilization-embryo transfer[J].J Assist Reprod Genet,2017,34(1):43-50.
[29]Polaáková M,Zetová L,Vlk R,et al.Monochorionic biamniotic twins with a common yolk sac in the first trimester ultrasound scan-is there a higher risk of a congenital defect[J].Ceská Gynekologie,2012,77(6):521-523.
[30]Corbett SL,Shmorgun D.Yolk sac number does not predict reliably amnionicity in monochorionic twin pregnancies:a case of a monochorionic monoamniotic twin pregnancy with two distinct yolk sacs on early first-trimester ultrasound[J].Ultrasound in Obstetrics&Gynecology,2012,39(5):607-608.
[31]Park SY,Chung JH,Han YJ,et al.Prediction of Amnionicity Using the Number of Yolk Sacs in Monochorionic Multifetal Pregnancy[J].Journal of Korean Medical Science,2017,32(12):2016-2020.

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更新日期/Last Update: 2018-09-15